Factors associated with recovery expectations following vehicle collision: a population-based study.

Authors

  • Dejan Ozegovic
  • Linda J. Carroll
  • J. David Cassidy

DOI:

https://doi.org/10.2340/16501977-0466

Keywords:

expectations, recovery, whiplash-associated disorders

Abstract

OBJECTIVE: Positive expectations predict better outcomes for a variety of health conditions including recovery from whiplash-associated disorders, but we know little about which individuals have negative expectations, and therefore may be at risk for poor whiplash-associated disorders recovery. METHODS: We assessed expectations for global recovery in a population-based cohort of 6015 individuals with traffic-related whiplash-associated disorders. We used multinomial logistic regression analysis to model factors associated with expecting to recover slowly, or not recover at all, as opposed to expecting to recover quickly. RESULTS: Depressive symptomatology, lower education, lower income, male gender, younger age, being a passenger in the vehicle, history of neck pain, and greater initial pain (greater percentage of body in pain, greater intensity of neck pain and presence of low back and/or headache pain) were associated with poor expectations for recovery. CONCLUSION: A number of demographic, socioeconomic and injury-related factors were associated with expectations for recovery in whiplash-associated disorders. Two of the strongest associated factors were depressive symptomatology and initial neck pain intensity. These results support using a biopsychosocial approach to evaluate expectancies and their influence on important health outcomes.

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Published

2009-10-12

How to Cite

Ozegovic, D., Carroll, L. J., & Cassidy, J. D. (2009). Factors associated with recovery expectations following vehicle collision: a population-based study. Journal of Rehabilitation Medicine, 42(1), 66–73. https://doi.org/10.2340/16501977-0466

Issue

Section

Original Report